27948_HOLLER, ADRIAN & BISSETTE, CHUCK_20010426

CAMA and DREDGE AND FILL U4$
G E N E R A L
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION SKETCH
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(SCALE:
Pier (dock) Length
_
_
Groin Length m
number
Bulkhead Length
max. distance offshore
'
Basin, channel dimensions_.
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cubic yards......
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Boat ramp dimensions
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Other
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

R ADRIAN HOLLER
ANNETTE J HOLLER NCDL 3227719
NEWPORT, NC 28570-6505
Pay to (file(
w Order of
a _
Date _J
BMT
1111 G O L O
p BRANCH BANKING AND TRUST COMP0.NY �\
MOREHEAD CITY, NORTH CAROLINA `
i:OS310LL2Li:S21491136L9il' S787
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5787
60-112153)
02301
fell
ray

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04/26/01 14:03 FAX [phone] T D EURE
APP-26-2001 14:Oe G.MICHEL BACH
IS
P.01
y
— -- _4I_,.,:a.M.rr14ta:ii*1a1�7f3�1f�
I)MMON OF COASTAL ADJACENT RMAItIAN PROPERTY ONM NOTMC�AT'I
iONIWAIYF.R FORM
Name of Itid'ividt a apiying for permit: 1 TZ
Address of Property:
fiat or Street 0. Sact or Rood, City & Connty)
I hereby cfflify that I own prop" adjaccrrt to the above referenced propetty, The individual
applying for this permit has dexr-'bed to me as shown vn the attached dewing the development
theY am FPoSii�g A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this pruposai_
If you have objections to what IS being PrOPoscd Fly write the Division of C=W
" 4 HegMa Plate'U-'-" B, frlwy 24, ahead M,, NC, 28557 or cal! (232) 808-
2M wirhm i0 dayr of rwerpt g1t1b;4 motier Na �spo,�e it �+tsiderod the xmnt as as objecdaa
if you have been agft{ d by Cartffiad Mau.
WAIVER SEC'I`ION
I understand that a pier, dock, tnoor"18 pilings, breakwater, boat house, W or sandbags nest be
set back a mWmum distance of 15, from my area eriparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank belaw,)
"A, I do wish to waive the is, spa& rwlu�t.
— I do not wish to waive the 15, seta& regWremer L
Print Name
Telephone Number With Area Code
9&'Ge?-T Ur-e— �Kr�3frn�1
d_ _ t, �J
TOTAL P.01

04/26/01 14:40 FAX [phone] T D EURE 12102
APR-26-2001 THU 14:23 ID: TEL: P101
' 04/Eli/01 14:91 VAX 1527294192 T D RITRF? 101
SERIBUM HAIi �+, gFTLM RFC'1Upj REQLZ =
DIVHUON OF COASTAL. MANAGEMENT
ADJACENT RIPAiRLAN PROPERTY OW M NOTWICATIMWAIVMt FORM
P
Name of Individual applying for Perm /7
Address of Property. frl
MAREIf EAR e'rFj - I- �{
(Lai or StrW' S. Strut or Rnad, Cky & Co")
I hereby certify that I own property adjacent to thr above lefeaer ad property. 7ht indivi&al
applying for this permit has de *zibed to me as spawn on the aftched d=wing the development
they aM proposing_ A description or drawing, wish dimensions, should be provided with this
Icttcr.
I have no objections to this prapasal_
Y,you have objeuivRs to what Is beMS pmpos4 please wpfte the Division of Coastal
Ma"Pment, Hestron Plonk 11,131-B, HWY. 34, Mvrrheud CIty, NC, 2BS57 or calf (25.2) 808-
28081ritMa 10 dayt of ricdpt' of this ago&#. No rMonre is mrn d*md the =me as eeo objeretion
if You have been 40QW by CeK}"ted Mall.
WAIVER SIECrIOH
I undo mind that a pier, dock, mooring pilings, breakwater, boat house, left or sandbags must be
set back a minimum distance of IS' from my area of riparian access unless waived by me. (If you
wish to waive the setback, rau must initial the apprMpride blank below.)
�x _ I do wish to waive the I S' setback requirement.
I do not wish to waive the I Y aetback requirement.
Telephone Number With Area Code
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dock.